MARY SUSAN RIYANTO

DALLAS, TX
NPI1558783746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: TX  666550)
Enumeration Date2014-01-08
Last Update Date2022-10-10
Business Address
Mrs. MARY SUSAN RIYANTO WHNP
6300 HARRY HINES BLVD. SUITE 600
DALLAS, TX 75235
Phone number: 214-266-0130
Mailing Address
Mrs. MARY SUSAN RIYANTO WHNP
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 469-419-1342
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